JENNIFER M MANTICA (APRN) – Family Nurse Practitioner, NPI 1801355185
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER M MANTICA (APRN)
3110 NOGALITOS STE 105
SAN ANTONIO, TX 782252337
Phone: (210) 533-0257
Fax: (210) 534-0890
Type: Location
520, Oak Drive, Pinson, Madison County, Tennessee, 38366, United States
SAN ANTONIO, TX 782583913
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $1,191.
Total Amount is formed as General ($1,191) + Research ($0) + Ownership ($0) = $1,191.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($392).
Total Amount
$1,191
General + Research + Ownership
Payments
57
Total payment records
General Amount
$1,191
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $392 |
| Lilly USA, LLC | $262 |
| ABIOMED | $173 |
| AstraZeneca Pharmaceuticals LP | $70 |
| PFIZER INC. | $43 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191015001414 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 27 | $0 |
Insurance plans in this area (ZIP 78225)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX |
Reviews
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